Healthcare Provider Details

I. General information

NPI: 1295162444
Provider Name (Legal Business Name): MARGUERITE KING MARSCHNER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MAY MARSCHNER PA-C

II. Dates (important events)

Enumeration Date: 10/02/2013
Last Update Date: 10/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9829 S 1300 E SUITE 303
SANDY UT
84094-4000
US

IV. Provider business mailing address

9829 S 1300 E SUITE 303
SANDY UT
84094-4000
US

V. Phone/Fax

Practice location:
  • Phone: 801-619-9000
  • Fax:
Mailing address:
  • Phone: 801-619-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: